解语汤联合针灸治疗脑卒中后吞咽障碍的临床效果观察  

Clinical Observation of Jieyu Decoction Combined with Acupuncture in the Treatment of Post-Stroke Dysphagia

作　　者：茹艳琴 赵东鹰[2] RU Yanqin;ZHAO Dongying(Department of Traditional Chinese Medicine,Xin’an County People’s Hospital,Luoyang Henan 471000,China;Department of Traditional Chinese Medicine,The Second Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000,China)

机构地区：[1]新安县人民医院中医科,河南洛阳471000 [2]河南科技大学第二附属医院中医科,河南洛阳471000

出　　处：《临床研究》2024年第10期121-124,共4页Clinical Research

摘　　要：目的 探究脑卒中后吞咽障碍患者使用解语汤联合针灸治疗的临床效果。方法 选取2021年6月至2023年12月新安县人民医院收入的82例脑卒中后吞咽障碍患者,按随机数字表法分组,各41例。对照组使用针灸治疗,研究组使用解语汤+针灸治疗,观察两组患者临床治疗效果及不良反应,使用洼田饮水试验、吞咽障碍特异性生活质量量表(SWAL-QOL)对两组治疗前后吞咽功能与生活质量进行比较。结果 研究组治疗有效率(97.56%)高于对照组(85.36%),差异具有统计学意义(P <0.05)。两组患者治疗前洼田饮水试验评分比较,差异无统计学意义(P> 0.05);治疗后,研究组洼田饮水试验评分低于对照组患者,差异具有统计学意义(P <0.05)。研究组不良反应发生率(2.44%)低于对照组患者(14.63%),差异具有统计学意义(P <0.05)。两组患者治疗前SWAL-QOL评分比较,差异无统计学意义(P> 0.05);治疗后,研究组SWAL-QOL评分高于对照组患者,差异具有统计学意义(P <0.05)。结论 联合应用解语汤和针刺治疗脑卒中后出现的吞咽障碍,临床疗效显著,不良反应少,可改善吞咽功能,提高生活质量,值得应用。Objective To explore the clinical effect of Jieyu Decoction combined with acupuncture in the treatment of post-stroke dysphagia.Methods A total of 82 patients with post-stroke dysphagia admitted to Xin’an County People’s Hospital from June 2021 to December 2023 were selected and divided into two groups using a random number table method,with 41 cases in each group.The control group received acupuncture treatment,while the study group received Jieyu Decoction combined with acupuncture treatment.The clinical treatment effects and adverse reactions of the two groups were observed.The Kubota Drinking Test and the Swallowing Quality of Life Questionnaire(SWAL-QOL)were used to compare the swallowing function and quality of life before and after treatment in the two groups.Results The effective treatment rate in the study group(97.56%)was higher than that in the control group(85.36%),with statistically significant differences(P<0.05).There was no statistically significant difference in the Kubota Drinking Test scores between the two groups before treatment(P>0.05).After treatment,the Kubota Drinking Test scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The incidence of adverse reactions in the study group(2.44%)was lower than that in the control group(14.63%),with statistically significant differences(P<0.05).There was no statistically significant difference in the SWAL-QOL scores between the two groups before treatment(P>0.05).After treatment,the SWAL-QOL scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The combined application of Jieyu Decoction and acupuncture in the treatment of post-stroke dysphagia has significant clinical efficacy,fewer adverse reactions,can improve swallowing function,and enhance the quality of life.It is worthy of application.

关 键 词：脑卒中 解语汤 针灸 吞咽障碍 

分 类 号：R285.6[医药卫生—中药学]